34D0875682 CLIA NUMBER - MOUNTAIN LAURAL INTERNAL MEDICINE, PA

Laboratory Demographics

  • CLIA Code: 34D0875682
  • Facility Name: MOUNTAIN LAURAL INTERNAL MEDICINE, PA
  • Facility Address: 177 NEW VALE ROAD
    NEWLAND, NC
    ZIP 28657
  • Facility Phone: 828 733-0270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH D. BARKER
  • NPI Number: 1255417358
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0875682
LAB Type Physician Office
Facility Name MOUNTAIN LAURAL INTERNAL MEDICINE, PA
Street 177 NEW VALE ROAD
City NEWLAND
State NC
ZIP 28657
Phone 828 733-0270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director JOSEPH D. BARKER

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This page was last updated on: 9/29/2025